Average Medicaid Office Visit Payments in Huntingdon, PA: $42.77
Avg. Paid
$42.77
Range
$0.00 – $73.11
Total Claims
46,696
Providers
33
Typical Payment Range
Typical Medicaid Office Visit payments fall between $29.28 and $67.92 per claim (median: $46.55). The top 10% of payments exceed $95.29.
Based on per-provider averages across all Medicaid claims in this category.
A standard doctor's office visit for evaluation and management of medical conditions. Includes new patient visits, follow-up visits, and consultations.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Office Visit in Huntingdon, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
James Warren Mansberger
10663 Raystown Rd |
$62.34 | 12,876 | 11,524 |
|
Eric C Stanger
7651 Lake Raystown Shopping Ctr |
$31.06 | 9,038 | 8,663 |
|
Anthony Zinobile
6678 Towne Center Blvd |
$43.73 | 6,628 | 6,406 |
|
Angela M Kattouf
360 Westminster Dr |
$53.38 | 5,423 | 4,377 |
|
Ronald A Long
1225 Warm Springs Ave |
$35.01 | 2,905 | 2,766 |
|
Gregory Allen Strunk
6678 Towne Center Blvd |
$3.46 | 1,634 | 1,586 |
|
Sonea Mahboob
2500 Cassady Ave |
$21.61 | 1,088 | 844 |
|
Daniel Delp
814 Washington St |
$39.17 | 865 | 823 |
|
Ralph Aldinger
1227 Warm Springs Ave |
$45.44 | 826 | 692 |
|
A Keith Sutton
1225 Warm Springs Ave |
$13.47 | 644 | 575 |
|
Antonowsky D Coleman
1225 Warm Springs Ave |
$59.76 | 600 | 543 |
|
Broad Top Area Medical Center, Inc
6678 Towne Center Blvd |
$3.88 | 589 | 525 |
|
Gregor Stanley Thebaud
835 Washington St |
$1.34 | 422 | 401 |
|
James Bernard Hayden
835 Washington St |
$0.00 | 378 | 341 |
|
Richard S. Buza
3228 Cold Springs Rd |
$42.96 | 365 | 344 |
|
Gary Andrew Herring
1225 Warm Springs Ave |
$37.86 | 337 | 319 |
|
William Olstein
9492 William Penn Hwy |
$41.89 | 324 | 317 |
|
Michael A Lettieri
6674 Towne Center Blvd |
$0.11 | 316 | 312 |
|
Joseph L Hines
3228 Cold Springs Rd |
$39.86 | 225 | 221 |
|
Kevin Edward Mckinney
51 Pennsylvania Ave |
$18.65 | 194 | 177 |
|
Kevin Malicky
1225 Warm Springs Ave |
$32.35 | 187 | 129 |
|
Devon Cantalope
1225 Warm Springs Ave |
$0.00 | 182 | 171 |
|
Michael F Gaugler
900 Bryan St Ste 7 |
$40.22 | 156 | 154 |
|
Mark R Minor
820 Bryan St |
$29.78 | 102 | 100 |
|
J C Blair Medical Services Inc
1225 Warm Springs Ave |
$62.01 | 88 | 57 |
|
Children'S Community Care
10663 Raystown Road |
$73.11 | 85 | 66 |
|
Joseph Castel
1225 Warm Springs Ave Ste 302 |
$1.67 | 84 | 78 |
|
Robert R. Dahmus
7651 Lake Raystown Shopping Ctr |
$24.58 | 44 | 42 |
|
Stephanie Lynch
1227 Warm Springs Ave |
$49.02 | 28 | 27 |
|
Jeremy R Tipton
1225 Warm Springs Ave |
$9.07 | 26 | 13 |
|
Allen Belo Ettenger
1227 Warm Springs Ave |
$0.00 | 13 | 13 |
|
Thomas Brian Sullivan
790 Bryan St |
$0.00 | 12 | 12 |
|
Tarun Sudhir Tandon
1227 Warm Springs Ave |
$33.59 | 12 | 12 |
What to Expect: Office Visit
A typical office visit lasts 15-45 minutes depending on complexity. Your doctor will review your medical history, discuss symptoms, perform a physical exam, and discuss treatment options. You may receive prescriptions, referrals, or orders for diagnostic tests. Follow-up visits are usually shorter than new patient visits.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 99213 | Office visit established mod | $43.18 | 764,306,590 | 487,602 |
| 99214 | Office visit established mod-hi | $59.53 | 502,480,931 | 466,856 |
| 99212 | Office visit established low | $41.69 | 92,299,154 | 127,462 |
| 99203 | Office visit new moderate | $67.55 | 47,756,882 | 127,334 |
| 99211 | Office visit established minor | $39.24 | 44,127,221 | 47,748 |
| 99204 | Office visit new moderate-high | $92.03 | 32,379,031 | 111,937 |
| 99215 | Office visit established high | $93.58 | 29,619,773 | 74,725 |
| 99202 | Office visit new low | $58.57 | 9,372,712 | 35,486 |
| 99205 | Office visit new high | $136.10 | 3,665,382 | 19,737 |
| 99244 | Office consultation mod-high | $118.25 | 3,405,681 | 11,884 |
| 99243 | Office consultation moderate | $78.55 | 2,585,480 | 8,432 |
| 99245 | Office consultation high | $132.29 | 645,300 | 3,046 |
| 99242 | Office consultation low | $58.27 | 483,445 | 1,980 |
| 99241 | Office consultation brief | $66.15 | 295,664 | 712 |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Office Visit cost in Huntingdon, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Huntingdon, PA is $42.77 per claim, based on 46,696 claims from 33 providers. Typical payments fall between $29.28 and $67.92. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Office Visit in Huntingdon, PA?
There are 33 Medicaid providers offering Office Visit related services in Huntingdon, PA according to public payment data.
What is the price range for Office Visit in Huntingdon, PA?
Medicaid reimbursement for Office Visit in Huntingdon, PA ranges from $0.00 to $73.11 per claim, with an average of $42.77. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Office Visit in Other Cities
Brooklyn, NY
Avg $71.20
32,336,840 claims · 5588 providers
New York, NY
Avg $81.86
23,551,154 claims · 7530 providers
Los Angeles, CA
Avg $24.20
16,948,065 claims · 5565 providers
Chicago, IL
Avg $30.31
13,989,780 claims · 5801 providers
Bronx, NY
Avg $82.40
13,626,712 claims · 3705 providers
Phoenix, AZ
Avg $47.53
13,269,420 claims · 4233 providers
Houston, TX
Avg $48.27
8,766,644 claims · 4540 providers
Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Huntingdon, PA
Emergency Room Visit
Avg $78.39
14,402 claims
Home Health Visit
Avg $52.72
13,704 claims
Ambulance Transport
Avg $18.10
9,075 claims
Physical Therapy
Avg $16.91
7,736 claims
Blood Work & Lab Tests
Avg $5.60
7,075 claims
Speech Therapy
Avg $14.47
5,071 claims
Durable Medical Equipment (DME)
Avg $25.18
4,747 claims
Podiatry (Foot Care)
Avg $2.68
4,155 claims